Dr. Caitlin Karplus , DO
General Practice โข Newberg, OR
2251 E Hancock St Ste 103
Newberg, OR 971322145
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Caitlin Karplus is listed in NPPES under General Practice.
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NPI assigned on March 15, 2013; this date does not establish years in practice.
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Published CMS data list 48 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 83036 โ Hemoglobin a1c level: 33 service units.
- 81003 โ Automated urinalysis test: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,066 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 221 prescription fills, including refills.
- Lisinopril โ 114 prescription fills, including refills.
- Omeprazole โ 100 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 91 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under General Practice in Oregon (2024, 20 clinicians with data). Median for this group: 315. Middle half: 81 to 719.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 49 in 2019 to 48 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2024.
Practice Location & Contact Primary Location
2251 E Hancock St Ste 103
Newberg, OR 971322145
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Virginia Garcia Memorial Health Center. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
At Still University, Arizona School Of Dentistry & Oral Hlth
2014
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
24 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $347 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $347 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
5,478 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$289,869 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2013
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Karplus has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Karplus as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Newberg and Oregon
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under General Practice in Oregon (2024, 20 clinicians with data). Median for this group: 315. Middle half: 81 to 719.
Too few clinicians listed under General Practice in Newberg have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under General Practice in Oregon (2024, 20 clinicians with data). Median for this group: $20,033. Middle half: $10,839 to $42,622.
Too few clinicians listed under General Practice in Newberg have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under General Practice in Oregon (2024, 20 clinicians with data). Median for this group: $14,274. Middle half: $7,878 to $31,336.
Too few clinicians listed under General Practice in Newberg have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under General Practice in Oregon (2024, 21 clinicians with data). Median for this group: 461. Middle half: 106 to 3,066.
Too few clinicians listed under General Practice in Newberg have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under General Practice in Oregon (2024, 21 clinicians with data). Median for this group: $27,036. Middle half: $2,475 to $178,494.
Too few clinicians listed under General Practice in Newberg have Medicare Part D data for 2024 to compare.
2 active clinicians are listed under General Practice with a practice address in Newberg, OR (95 in Oregon).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 49 in 2019 and 48 in 2024.
- 2019: 49
- 2021: 17
- 2022: 21
- 2023: 27
- 2024: 48
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Medicare-allowed amount
Medicare-allowed amount went from $570 in 2019 to $347 in 2024.
- 2019: $570
- 2021: $165
- 2022: $201
- 2023: $257
- 2024: $347
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Paid by Medicare
Paid by Medicare went from $570 in 2019 to $347 in 2024.
- 2019: $570
- 2021: $165
- 2022: $201
- 2023: $257
- 2024: $347
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 78% from 1,726 in 2020 to 3,066 in 2024.
- 2020: 1,726
- 2021: 1,900
- 2022: 1,245
- 2023: 2,178
- 2024: 3,066
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30-day fills
30-day fills increased 87% from 2,937 in 2020 to 5,478 in 2024.
- 2020: 2,937
- 2021: 3,425
- 2022: 2,530
- 2023: 3,867
- 2024: 5,478
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Part D drug cost
Part D drug cost increased 169% from $107,845 in 2020 to $289,869 in 2024.
- 2020: $107,845
- 2021: $112,730
- 2022: $60,634
- 2023: $231,804
- 2024: $289,869
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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83036
Hemoglobin a1c level
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33 | 17 | $30.00 | $9.52 |
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81003
Automated urinalysis test
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15 | 11 | $7.69 | $2.20 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 221 | 16,187 | $3,720.00 | 58 |
| Lisinopril | Lisinopril | 114 | 7,745 | $1,202.04 | 26 |
| Omeprazole | Omeprazole | 100 | 6,698 | $1,830.62 | 31 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 90 | 2,652 | $3,327.38 | 24 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 84 | 1,300 | $1,184.32 | 21 |
| Furosemide | Furosemide | 82 | 3,917 | $568.33 | 17 |
| Levothyroxine Sodium | Levothyroxine Sodium | 81 | 5,826 | $888.58 | 21 |
| Gabapentin | Gabapentin | 76 | 3,871 | $1,130.25 | 23 |
| Amlodipine Besylate | Amlodipine Besylate | 75 | 5,260 | $626.08 | 26 |
| Oxycodone Hcl | Oxycodone Hcl | 74 | 1,030 | $532.32 | 13 |
| Fluoxetine Hcl | Fluoxetine Hcl | 68 | 2,980 | $656.19 | 11 |
| Metformin Hcl | Metformin Hcl | 57 | 4,857 | $373.03 | 16 |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 57 | 1,753 | $1,576.12 | 20 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 55 | 1,527 | $765.90 | 19 |
| Ibuprofen | Ibuprofen | 55 | 2,497 | $1,092.17 | 20 |
| Trazodone Hcl | Trazodone Hcl | 54 | 3,380 | $474.44 | 12 |
| Metformin Hcl Er | Metformin Hcl | 54 | 3,399 | $924.35 | 13 |
| Warfarin Sodium | Warfarin Sodium | 53 | 1,178 | $659.60 | โ |
| Metoprolol Succinate | Metoprolol Succinate | 51 | 3,462 | $391.80 | 11 |
| Shingrix | Varicella-Zoster Ge/As01b/Pf | 49 | 49 | $9,536.35 | 26 |
| Lorazepam | Lorazepam | 47 | 771 | $362.76 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 45 | 3,000 | $751.67 | 12 |
| Jardiance | Empagliflozin | 43 | 3,242 | $63,267.11 | 12 |
| Ozempic | Semaglutide | 43 | 1,330 | $40,462.02 | โ |
| Losartan Potassium | Losartan Potassium | 42 | 3,216 | $417.00 | 11 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - FAMILY PRACTICE
I20171117001998
OR
0244532695
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Virginia Garcia Memorial Health Center
115 Ne May Ln, Mcminnville, OR 971289272
Phone: 5034721338
Virginia Garcia Memorial Health Center
2251 E Hancock St, Newberg, OR 971322145
Phone: 9712813000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Doctor of Pharmacy (Pharm.D.)
Physician Assistant - Medical
Physician Assistant
Family Medicine
Doctor of Medicine (M.D.), DIPABLM
Physician Assistant - Medical
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 2251 E HANCOCK ST STE 103, NEWBERG, OR 971322145 (Tel: 9712813000)
Registered at PO BOX 6149, ALOHA, OR 97007 (Tel: 5033528657)
Recorded as CAITLIN KARPLUS, DO
General Practice (license number reported to NPPES: OR DO184519)
NPI status registered as active in NPPES database
Registered at 226 SE 8TH AVE, HILLSBORO, OR 971234218 (Tel: 5036016000)
Registered at PO BOX 568, CORNELIUS, OR 971130568
Recorded as CAITLIN KARPLUS, D.O
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 6149
Aloha, OR 97007
Phone: 5033528657